Provider Demographics
NPI:1982824462
Name:DR. JOSEPH J. FIORITTO, D.D.S., P.C.
Entity Type:Organization
Organization Name:DR. JOSEPH J. FIORITTO, D.D.S., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:FIORITTO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:586-286-4500
Mailing Address - Street 1:43421 GARFIELD RD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:CLINTON TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48038-1133
Mailing Address - Country:US
Mailing Address - Phone:586-286-4500
Mailing Address - Fax:586-286-0193
Practice Address - Street 1:43421 GARFIELD RD
Practice Address - Street 2:SUITE 5
Practice Address - City:CLINTON TWP
Practice Address - State:MI
Practice Address - Zip Code:48038-1133
Practice Address - Country:US
Practice Address - Phone:586-286-4500
Practice Address - Fax:586-286-0193
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI105491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty